Increased awareness enhances physician recognition of the role of smoking in chronic pancreatitis

We have previously reported that physicians under-recognize smoking as a chronic pancreatitis (CP) risk factor. We hypothesized that availability of empiric data will influence physician recognition of this relationship. We analyzed data from 508 CP patients prospectively enrolled in the North Ameri...

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Published in:Pancreatology : official journal of the International Association of Pancreatology (IAP) ... [et al.] 2019-06, Vol.19 (4), p.500-506
Main Authors: Muniraj, Thiruvengadam, Yadav, Dhiraj, Abberbock, Judah N., Alkaade, Samer, Amann, Stephen T., Anderson, Michelle A., Banks, Peter A., Brand, Randall E., Conwell, Darwin, Cote, Gregory A., Forsmark, Christopher E., Gardner, Timothy B., Gelrud, Andres, Guda, Nalini, Lewis, Michele D., Romagnuolo, Joseph, Sandhu, Bimaljit S., Sherman, Stuart, Singh, Vikesh K., Slivka, Adam, Tang, Gong, Whitcomb, David C., Wilcox, C. Mel
Format: Article
Language:English
Subjects:
Adult
Alcohol
Alcohol Drinking - adverse effects
Alcohol Drinking - epidemiology
Endoscopy
Etiology
Female
Gastroenterology
Genomes
Health Knowledge, Attitudes, Practice
Humans
Longitudinal Studies
Male
Medical imaging
Middle Aged
NMR
Nuclear magnetic resonance
Pancreatitis
Pancreatitis, Chronic - drug therapy
Pancreatitis, Chronic - etiology
Patients
Physicians
Questionnaires
Risk factor
Risk Factors
Self Report
Smoking
Smoking - adverse effects
Smoking cessation
Surveys and Questionnaires
Ultrasonic imaging
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Summary:We have previously reported that physicians under-recognize smoking as a chronic pancreatitis (CP) risk factor. We hypothesized that availability of empiric data will influence physician recognition of this relationship. We analyzed data from 508 CP patients prospectively enrolled in the North American Pancreatitis Study-2 Continuation and Validation (NAPS2-CV) or NAPS2-Ancillary (AS) studies (2008–2014) from 26 US centers who self-reported ever-smoking. Information on smoking status, physician-defined etiology and identification of smoking as a CP risk factor was obtained from structured patient and physician questionnaires. We compared how often physician identified smoking as a CP risk factor in NAPS2-CV/NAPS2-AS studies with NAPS2-original study (2000–2006). Enrolling physician identified smoking as a risk factor in significantly (all p 
ISSN:1424-3903
1424-3911
DOI:10.1016/j.pan.2019.02.009